Notice of Privacy Practices (HIPAA)

Our Pledge Regarding Medical Information

We understand that medical information about you and your health is personal. We are committed to protecting medical information about you. We create a record of the care and services you receive at Behavioral Nutrition. We need this record to provide you with quality care and to comply with certain legal requirements. This notice applies to all of the records of your care generated by Behavioral Nutrition.

How We May Use and Disclose Medical Information About You

The following categories describe different ways that we use and disclose medical information. Not every use or disclosure in a category will be listed. However, all of the ways we are permitted to use and disclose information will fall within one of the categories.

• For Treatment: We may use medical information about you to provide you with medical treatment or services. We may disclose medical information about you to doctors, nurses, technicians, or other healthcare professionals who are involved in taking care of you.
• For Payment: We may use and disclose medical information about you so that the treatment and services you receive may be billed to and payment may be collected from you, an insurance company, or a third party.
• For Health Care Operations: We may use and disclose medical information about you for our health care operations. These uses and disclosures are necessary to run our practice and make sure that all of our patients receive quality care.
• As Required By Law: We will disclose medical information about you when required to do so by federal, state, or local law.

Your Rights Regarding Medical Information About You

You have the following rights regarding medical information we maintain about you:

• Right to Inspect and Copy: You have the right to inspect and copy medical information that may be used to make decisions about your care.
• Right to Amend: If you feel that medical information we have about you is incorrect or incomplete, you may ask us to amend the information.
• Right to an Accounting of Disclosures: You have the right to request an "accounting of disclosures." This is a list of the disclosures we made of medical information about you.
• Right to Request Restrictions: You have the right to request a restriction or limitation on the medical information we use or disclose about you for treatment, payment, or health care operations.
• Right to Request Confidential Communications: You have the right to request that we communicate with you about medical matters in a certain way or at a certain location.

Changes to This Notice

We reserve the right to change this notice. We reserve the right to make the revised or changed notice effective for medical information we already have about you as well as any information we receive in the future. We will post a copy of the current notice on our website.

Complaints

If you believe your privacy rights have been violated, you may file a complaint with Behavioral Nutrition or with the Secretary of the Department of Health and Human Services. All complaints must be submitted in writing. You will not be penalized for filing a complaint.

Contact Information:
Behavioral Nutrition
1266 Furnace Brook Pkwy Ste 404
Quincy MA 02169
Phone: 617-595-7044
Email: info@behavioralnutrition.org